Leveraging Mindfulness to Build Resilience and Professional Quality of Life in Human Service Professionals

Objective: Mindfulness-based interventions (MBIs) have shown promise in cultivating resilience and are widely accepted as efficacious in the treatment of a range of psychological disorders. This paper explores the feasibility of a Mindful-Awareness and Resilience Skills Training (MARST) program to enhance mindfulness and resilience, as a means of increasing psychological well-being and alleviating burnout and compassion fatigue in human service professionals. Method: In this randomised control trial, 46 human service professionals were randomly allocated to either a MARST group or to a no intervention, control group. Results: Multivariate analysis of covariance (MANCOVA), with pre-test scores as the covariates, revealed that the MARST intervention resulted in significant improvements in mindfulness, resilience, compassion satisfaction, and psychological well-being, and significant reductions in burnout and compassion fatigue; at post-intervention. These results were maintained at one month follow-up, with the exception of compassion satisfaction which was non-significant. Mediation analysis using a bootstrap resampling method indicated that mindfulness fully mediated changes in resilience and psychological well-being, as a result of the MARST intervention. Self-reported reductions in burnout following the intervention were mediated by mindfulness and resilience, and decreased compassion fatigue was mediated by resilience. Conclusions: The results of this study suggest that the MARST program may assist in developing resilience and ameliorating burnout and compassion fatigue in human service professionals. The study also provides evidence for the potential of mindfulness-based approaches to enhance resilience.</jats:p

Compassion fatigue among nurses working with older adults

Nurses who care for older patients are exposed to significant suffering and loss that can lead to the development of compassion fatigue and burnout. An exploratory descriptive study was conducted to assess compassion fatigue, burnout, and compassion satisfaction in a group of 42 nurses who worked on a geriatric medicine unit using the Professional Quality of Life (ProQOL) compassion satisfaction and compassion fatigue 5 scale. Nurses reported average levels of compassion fatigue, burnout, and compassion satisfaction. However, new nurses reported higher levels of compassion fatigue (p < .01) and burnout (p = .02) than experienced nurses. Findings suggest the need to purposely build a supportive environment that focuses on new nurses to reduce compassion fatigue and burnout while enhancing compassion satisfaction

The relationship between work environment, sense of coherence and compassion fatigue amongst employee assistance programme (EAP) practitioners

ABSTRACT The negative impacts of trauma on clients are well known. However, the negative impact of working with traumatized clients on the counselor or helper has received less attention in the literature. Similarly, the contributions of certain work environments to experiences of compassion fatigue and the role of personality characteristics have gone unnoticed, especially in the South African context. The aim of this research is to examine the relationships between compassion fatigue, sense of coherence and work environment variables (job control, workload and collegial support), and to determine whether sense of coherence moderates the relationship between work environment and compassion fatigue on a sample of Employee Assistance Programme (EAP) practitioners in the South African organisational context (both public and private sectors). The current study adopted a non-experimental research design, categorised as cross-sectional and correlational. A non-probability sampling procedure was utilised. A sample of ninety-nine (99) EAP practitioners was obtained. A 10-items Job Control Scale (Wall, Jackson and Mullarkey, 1995), Workload and Collegial Support Scale by Dewe (1987) 11-items each, a 30- items Compassion Fatigue Self-Test Scale (Figley, 1995), and 13-items Orientation to Life Questionnaire (QLQ-13/SOC-13) by Antonovsky (1987; 1993) were administered. Results indicate that the sample in the current study were at higher risk of experiencing compassion fatigue. There was a positive significant relationship between workload, collegial support and compassion fatigue, a negative insignificant correlation between job control and compassion fatigue, and positive insignificant relationship between sense of coherence and compassion fatigue. The results between sense of coherence and the work environment variables were insignificant. Finally, sense of coherence was only found to moderate the relationship between workload and compassion fatigue and the relationship between collegial support and compassion fatigue

The Other Costs of Trauma: Educator Compassion Fatigue

In this column, Dr. Oliver tackles the topic of compassion fatigue in educators and reminds those working with children impacted by trauma to recognize their own symptoms

Compassion Satisfaction and Compassion Fatigue Among Critical Care Nurses

BACKGROUND Although critical care nurses gain satisfaction from providing compassionate care to patients and patients’ families, the nurses are also at risk for fatigue. The balance between satisfaction and fatigue is considered professional quality of life. OBJECTIVES To establish the prevalence of compassion satisfaction and compassion fatigue in adult, pediatric, and neonatal critical care nurses and to describe potential contributing demographic, unit, and organizational characteristics. METHODS In a cross-sectional design, nurses were surveyed by using a demographic questionnaire and the Professional Quality of Life Scale to measure levels of compassion fatigue and compassion satisfaction. RESULTS Nurses (n = 221) reported significant differences in compassion satisfaction and compassion fatigue on the basis of sex, age, educational level, unit, acuity, change in nursing management, and major systems change. CONCLUSIONS Understanding the elements of professional quality of life can have a positive effect on work environment. The relationship between professional quality of life and the standards for a healthy work environment requires further investigation. Once this relationship is fully understood, interventions to improve this balance can be developed and tested

Debrief in Emergency Departments to Improve Compassion Fatigue and Promote Resiliency

The purpose of this case study was to describe compassion fatigue using one nurse\u27s experience as an example and to present the process of Personal Reflective Debrief as an intervention to prevent compassion fatigue in emergency department (ED) nurses. Debriefing after adverse outcomes using a structured model has been used in health care as a nonthreatening and relatively low-cost way to discuss unanticipated outcomes, identify opportunities for improvement, and heal as a group. There are many methods of debrief tailored to specific timing around events, specific populations of health care workers, and amount of time for debriefing. Debrief with personal and group reflection will help develop insights that nurses may need to understand their own emotions and experiences, as well as to develop knowledge that can be used in subsequent situations. Regular engagement in a proactive scheduled Personal Reflective Debrief has been identified as a method of promoting resiliency in an environment where the realities of emergency nursing make compassion fatigue an imminent concern. Nurses working in the ED normally experience some level of stress because of high acuity patients and high patient volume; yet, repeated exposure puts them at risk for developing compassion fatigue. The Personal Reflective Debrief is one way emergency nurses can alleviate some of this caring-related stress and thereby become more resilient. Increasing nurses\u27 resilience to workplace stress can counter compassion fatigue. The key is to provide planned, proactive resources to positively improve resiliency

COMPASSION FATIGUE AND THE SENSE OF COHERENCE IN CAREGIVERS WORKING WITH SEXUALLY ABUSED CHILDREN IN SOWETO

Faculty of Humanities School of Human and Community Development 0206924r [email protected] aim of this study was to contribute to literature the effects of working with traumatized children in a continuous traumatic stress environment more specifically in a township which is historically known as characterised by criminal activities and political oppression, Soweto. The study investigates the levels of compassion fatigue and the sense of coherence of caregivers working in a continuous traumatic stress environment. Working with trauma victims especially children who are perceived as vulnerable and helpless may leave caregivers with feelings of helplessness and hopelessness, anger towards the perpetrators or anger toward the parents for being unable to protect the children. Caregivers may view the environment as unsafe for both their own children and the traumatized children that they treat. These emotions may lead to compassion fatigue, meaning that the caregiver’s relationships at home and work become affected due to trauma work. The caregiver’s ability to manage or cope with a stressful situation may also be affected causing their levels of the sense of coherence to be compromised. This study investigated the levels of compassion fatigue and the sense of coherence among caregivers who work with sexually abused children in Soweto. Compassion fatigue was assessed by using the Compassion Fatigue Scale (CFS) (Figley, 1995, Stamm, 1996). The sense of coherence was measured by the Orientation to Life Questionnaire (OLQ) Antonvosky (1987). The sample group consisted of 25 caregivers working in Soweto. These included nurses, teachers, counsellors and social workers from this area. 2 Results of the study indicated that the majority of the respondents manifested an extremely high risk of compassion fatigue based on the high scores they obtained on the Compassion Fatigue Scale. Interestingly the levels of the sense of coherence for the majority of the participants were also high, which contradicts previous findings. Findings from the qualitative data revealed positive and negative emotions related to the nature of their work. It also became apparent that caregivers with limited resources become frustrated and manifested feelings of inadequacy due to poor referral systems and there was no feedback from other organisation that deal with the children they worked with. Leaving caregivers with feelings of isolation. It also emerged that caregivers used a range of coping strategies in dealing with stressful situations

Unpacking self-care: The connection between mindfulness, self-compassion, and self-care for counselors

With an escalating need for provision of mental health services to clients with serious and complex mental health concerns, it is vital that professional counselors find ways to prevent and address the adverse effects of working in stressful, emotionally demanding environments (Craig & Sprang, 2010). While self-care has been shown to mitigate compassion fatigue, self-care activities can be vague and difficult to prioritize. In this article, the authors present a review of the literature on mindfulness in mitigating compassion fatigue in counselors and propose a conceptualization of mindfulness as a gateway to self-care through self-compassion. Implications for research, counselor training, and professional development are discussed